VITALAB PHARMACY INC (NPI# 1982210191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982210191 |
| Entity Type | Organization |
| Organization Name | VITALAB PHARMACY INC |
| Other Organization Name | VASCO INFUSION |
| Practice Address |
13026 W Rancho Santa Fe Blvd Ste B100 Avondale AZ 85392-1712 |
| Mailing Address |
4045 E Bell Rd Ste 163 Phoenix AZ 85032-2240 |
| Practice Telephone | 6023460204 |
| Mailing Telephone | 6023460204 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | PAUL VASILIAUSKAS (SR VP BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 6029716950 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALERACARE HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Vasco Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821594102 | Vitalab Pharmacy Inc | Clinic/Center | 1763 W 24th St Ste 102, Yuma, AZ 85364-6219 | 2018-04-04 |
| 1083220289 | Vitalab Pharmacy Inc | Clinic/Center | 1501 S Yale St Ste 152, Flagstaff, AZ 86001-7337 | 2020-09-22 |
| 1356957567 | Vitalab Pharmacy Inc | Clinic/Center | 690 E Warner Rd Ste 131, Gilbert, AZ 85296-3057 | 2020-09-22 |
| 1134684616 | Vitalab Pharmacy Inc | Clinic/Center | 2110 W 24th St, Yuma, AZ 85364-8878 | 2019-02-08 |
| 1922596626 | Vitalab Pharmacy Inc | Clinic/Center | 9097 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260-6276 | 2018-04-27 |
| 1265938534 | Vitalab Pharmacy Inc | Clinic/Center | 2120 W Ina Rd Ste 100, Tucson, AZ 85741-5501 | 2018-04-04 |
| 1316443690 | Vitalab Pharmacy Inc | Clinic/Center | 3237 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2018-04-04 |
| 1245776475 | Vitalab Pharmacy Inc | Clinic/Center | 3900 E Broadway Blvd, Suite 201, Tucson, AZ 85711-3453 | 2017-01-11 |
| 1427592088 | Vitalab Pharmacy Inc | Clinic/Center | 12020 S Warner Elliot Loop, Ste 101, Phoenix, AZ 85044-2700 | 2016-12-15 |
| 1578007308 | Vitalab Pharmacy Inc | Clinic/Center | 7615 W Thunderbird Rd Ste 106, Peoria, AZ 85381-6083 | 2016-12-13 |
| Street Address |
13026 W RANCHO SANTA FE BLVD STE B100 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816160 | Vasco Healthcare Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821557638 | Nourish Health Pllc | Clinic/Center | 31316 N 1st St, Phoenix, AZ 85085-7220 | 2019-03-19 |
| 1821560558 | Kic Scottsdale LLC | Clinic/Center | 10555 N 114th St Ste 105, Scottsdale, AZ 85259-4940 | 2018-12-19 |
| 1073080305 | Yuma Outpatient Medical Services, LLC | Clinic/Center | 2281 W 24th St Ste 14, Yuma, AZ 85364-6197 | 2018-10-24 |
| 1821594102 | Vitalab Pharmacy Inc | Clinic/Center | 1763 W 24th St Ste 102, Yuma, AZ 85364-6219 | 2018-04-04 |
| 1770095820 | Optim Ketamine Clinics LLC | Clinic/Center | 10255 N 32nd St Ste B, Phoenix, AZ 85028-3822 | 2017-10-30 |
| 1740790823 | Ketamine Infusion Centers LLC | Clinic/Center | 3724 N 3rd St Ste 201, Phoenix, AZ 85012-2034 | 2017-10-03 |
| 1659894251 | Honorhealth Ambulatory | Clinic/Center | 3501 N Scottsdale Rd Ste 230, Scottsdale, AZ 85251-5649 | 2017-07-25 |
| 1558771378 | H2b2az,llc | Clinic/Center | 29850 N Tatum Blvd, Suite 114, Cave Creek, AZ 85331-5867 | 2014-05-01 |
| 1528251311 | Arizona Medical Infusion | Clinic/Center | 20650 N 29th Pl, Suite 105, Phoenix, AZ 85050-4782 | 2007-08-24 |
| 1225635022 | All Ways Homecare LLC | Clinic/Center | 14631 N Cave Creek Rd Ste 101, Phoenix, AZ 85022-4100 | 2020-10-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.